BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1366436073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366436073 |
| Entity Type | Organization |
| Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
955 Ribaut Rd Beaufort SC 29902-5441 |
| Practice Telephone | 8435225200 |
| Practice Fax Number | 8435225765 |
| Mailing Telephone | 8435225200 |
| Mailing Fax Number | 8435225765 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MR. EDMOND RUSSELL BAXLEY III (CEO) |
| Authorized Official Telephone | 8435225140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HTL026 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 270920 | 05 | |
| SC | 101376 | 05 | |
| SC | DPE033 | 05 | |
| SC | 400676 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1619248317 | Beaufort County Memorial Hospital | Specialist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2012-01-26 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| 1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1598713117 | Beaufort County Memorial Hospital | Internal Medicine | Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 | 2006-05-05 |
| 1033175344 | Beaufort County Memorial Hospital | Physician Assistant | 1000 Pine Street West, Varnville, SC 29944-0969 | 2006-04-25 |
| 1992327845 | Beaufort County Memorial Hospital | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2020-05-14 |
| 1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
| 1013224989 | Beaufort County Memorial Hospital | Clinic/Center | 989 Ribaut Rd, Ste. 240, Beaufort, SC 29902-5472 | 2010-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUFORT COUNTY MEMORIAL HOSPITAL | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Street Address |
955 RIBAUT RD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083270995 | Taylor D Robinson | Nurse Practitioner | 955 Ribaut Rd, Beaufort, SC 29902-5454 | 2019-05-15 |
| 1851868244 | Roxanne Davis Cote | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1023585411 | Jessica Marie Hausfeld | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1366917940 | Lydia C Wickenhoefer | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-10 |
| 1871091199 | Michael Conner Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-02-01 |
| 1356849814 | Charlotte Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-01-30 |
| 1063928935 | Beaufort Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-12-14 |
| 1548773583 | Beaufort Physician Partners | Clinic/Center | 955 Ribaut Rd, Beaufort, SC 29902 | 2017-11-13 |
| 1982116182 | Harmony Tucker | Physical Therapist | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-10-27 |
| 1740709070 | Maredith Anne Russo | Physical Therapist | 955 Ribaut Rd, Beaufort, SC 29902 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063928935 | Beaufort Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-12-14 |
| 1063596443 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1275066821 | Travis B Grindstaff | General Acute Care Hospital | 411 Polifka Dr, Shaw Afb, SC 29152 | 2017-04-10 |
| 1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
| 1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
| 1952756124 | University of Florida | General Acute Care Hospital | 1537 Theresa Dr, Apt A, Charleston, SC 29412-3242 | 2016-04-25 |
| 1831550060 | Lexington Medical Center | General Acute Care Hospital | 146 N Hospital Dr Ste 310, West Columbia, SC 29169-4800 | 2016-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.